Make the most out of your plan with preventive care
Preventive care includes routine checkups, tests, and screenings that help identify health issues early, when they’re easier to treat. It’s important to stay connected with your doctor and take advantage of any preventive care they recommend – even if you’re feeling well. If you see an in-network provider, preventive care is at no cost to you.*.
Both can occur during the same care visit. For example, when your doctor catches something during your routine checkup (preventive) and orders additional tests (diagnostic).
Watch this video to learn more about these different types of care.
At No Cost To You*
Your routine checkup:
May Pay More Out-Of-Pocket
Lab work and other tests:
*Some checkups and tests depend on your sex, age, last visit, or risk factors. You and your doctor can determine what’s best for you. Your coverage is outlined in your plan’s specific preventive schedule.
*If you are in a non-grandfathered care plan and a preventive treatment has not been added to the preventive schedule, some cost-sharing measures may be applied.
**Please refer to your preventive schedule which includes additional information on what may qualify as preventive care.
Insurance or benefit administration may be provided by Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Coverage Advantage, Highmark Health Insurance Company, First Priority Life, First Priority Health or Highmark Senior Health Company, all of which are independent licensees of the Blue Cross Blue and Shield Association. Health care plans are subject to terms of the benefit agreement. Highmark Choice Company and Highmark Senior Health Company are Medicare Advantage plans with a Medicare contract. Enrollment in Highmark Choice Company and Highmark Senior Health Company depends on contract renewal.
Important Legal Information: Health care benefit programs are issued or administered by Highmark Blue Cross Blue Shield, Highmark Health Insurance Company, Highmark Choice Company, or First Priority Life Insurance Company, independent licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross Blue Shield plans. Information on this website is issued by Highmark Blue Cross Blue Shield on behalf of these companies, which serve the 29 counties of western Pennsylvania and 13 counties in northeast and north central Pennsylvania.
The Claims Administrator/Insurer complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
We are committed to providing outstanding services to our applicants and members. If you require special assistance, including accommodations for disabilities or limited English proficiency, please call us at 1-800-876-7639 or TTY at #711 to receive assistance free of charge.
This site works best if viewed with the latest version of Internet Explorer, Firefox, Chrome, or Safari browsers. For the best performance and security, always keep your web browser up-to-date.
The information contained on this website regarding the Patient Protection and Affordable Care Act of 2010 (“PPACA”), as amended, and/or any other law, does not constitute legal or tax advice and is subject to change based upon the issuance of new guidance and/or change in laws.
The information provided is intended to provide general information only and does not attempt to give you advice that relates to your specific circumstances. State laws and regulations governing health insurance and health plans may vary from state to state. Further, any information regarding any health plan will be subject to the terms of its particular health plan benefit agreement and some health plans may not be available in every region or state.